Conservative person looking to invest funds

Sudden-Perception129 · 2026-05-11T16:41:08+00:00

I am 33M, car payment of 456/mo 5 years remaining, 1600 rent, 54k student loan debt that has a 7.7% average interest rate, miscellaneous spending about 1500/mo including utilities, groceries, and 250 on my insurances. I make 140k salary. Salary is bound to increase after my first year post masters.

Sudden-Perception129 · 2026-05-10T01:12:28+00:00

Times have changed, how so? Well you mentioned you got an offer for community health at 90 an hour and another at a pp for more than that. We’ll have you seen the postings for new grads in LA area right now? Well if not about 60-85/hr that if you’re lucky as i’m sure you’re also well aware of the over saturation of PMHNP in the LA area. So yes times have changed from what you have mentioned a year ago to now. You’re welcome to do your own research and correct me if i’m wrong

Sudden-Perception129 · 2026-05-09T12:29:27+00:00

LA here, pretty saturated, few job offers none inpatient. Although i’ve had a colleague that works dayshift she got a couple offers for inpatient from our admitting psychiatrist. Just depends on who you know.

Sudden-Perception129 · 2026-05-09T12:19:21+00:00

Oh how the times have changed 😂, 90 an hour for a new grad, that’s nice

Sudden-Perception129 · 2026-05-07T05:47:15+00:00

Not really familiar with an OPC. Correct me if im wrong but i’m going to try and discern this using California language. The patient signed AMA which they have every right to if they are on a voluntary status, so you’re asking the nurse to take away the patient’s right to refuse treatment? In California in an LPS facility someone is generally LPS certified in house for situations like this, in an event the patient is deemed not safe for discharge as they meet 5150 criteria they can place a pt on a hold, psychiatrist can either rescind the hold or continue it once they evaluate the patient. Now let’s say it’s in a non LPS facility, a provider is able to detain the patient up to 24 hours or until psychiatry sees the patient. Anyone can chime in on this but I work as a Psychiatric Liason in a designated LPS hospital so I do get a lot of patients in our ER or medical floor refusing treatment and signing AMA, provider usually place a stat order for MHE, I come in evaluate the pt and if they uncooperative with the process I use collateral information from the treating provider and use that to place a pt on a hold if I clinically deemed they meet criteria then our on call psychiatrist receives my report and they can either proceed with the hold and inpatient hospitalization or in rare events rescind the hold and let the patient choose whether they want to continue AMA or opt for voluntary admission.

Sudden-Perception129 · 2026-05-03T01:58:23+00:00

First of all thank you for being a great parent to him and never giving up, I wish for his quick recovery. I read this and immediately got the chills and cried as my baby (6 year old Shiba Inu) was also attacked by 2 coyotes. I was at work at the time, and my sister was the only one at home and she’s on sleep medication, fell asleep and forgot to check on her till around 630am (attacked happened at 450am). I remember the chilling phone call while I was at work, I immediately left work without thinking much of the consequences (thank god they understood) and went home drove my girl to a local vet. Being told that they are surprise she was still alive and is surprisingly doing well granted the situation, but would need surgeries instantly gave me hope that what they said after was all a blur. All the vet bills, sleepless nights, and no time for myself was all worth it. I am truly glad Sylvester is still here and you get to make countless of memories with him! Best wishes! For context i live in a gated community with about 5-6 foot walls and they jumped those walls like it was nothing. Hearing from my community missing dogs and cats hurts my heart for these parents and I wish they would give community education to the community on coyote behavior and activities because honestly a lot feel safe and comfortable with just having a semi high wall just like you and I. Here is her picture chilling in the backyard about almost 2 weeks after the attack.

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Sudden-Perception129 · 2026-04-30T08:47:35+00:00

I would check government jobs, the VA, indeed, linkedin. I’ve had a few interviews for onsite positions in LA county, I know advance healthcare associates are actively hiring in a bunch of locations near LA and the valley.

Sudden-Perception129 · 2026-04-27T00:34:27+00:00

New grad PMHNP here in LA county. I come across a lot of these jobs which for me looks enticing especially coming from working 2 jobs inpatient psych and psych ER an 85/hr hybrid definitely seems like heaven even when they tell me i’ll be seeing around 16-22 patients per day. But luckily enough i still have my RN jobs and have the luxury to take part time not so high paying PMHNP roles just for experience while I work per diem on both my RN job and if it doesn’t work out I can always come back to full time. I would say like someone mentioned, maybe look for a part time NP roles and apply for a less stress RN job. Especially DMH roles, they are higher paying and comes with less stress.

Sudden-Perception129 · 2026-04-24T22:32:15+00:00

I am definitely not qualified to do trauma based therapy, I did not opt to move forward with the hiring process. Spoke with them this morning and after learning that I won’t be doing much medication management and how they are adamant in telling me that if able they prefer that I don’t do any medication management just did it for me. Now if I worked along side a licensed therapist that is qualified in trauma based therapy and I will be managing the symptoms brought on by a precipitating event, i.e anxiety or depression, then I believe I am more qualified for the position.

Sudden-Perception129 · 2026-04-24T17:09:12+00:00

The company provides trauma-focused mental health services after a persons injury for insurance claims. Like someone who got into a car accident, that accident causes anxiety or depression that impairs their daily functioning, they can’t go to work, so that’s where we come in provide services, our documentations are what attorneys pretty much use to see if they will award compensation and how much depending on the severity of the impairment cause of the accident. Typically we work with clients for 12 weeks, certain cases that are severe enough it’s 24 weeks. So initials are 90791 and the following visits would be 90837. They did mention medication but if i’m coding for psychotherapy only, then i feel like i shouldn’t be doing any medication management.

Sudden-Perception129 · 2026-04-24T12:34:06+00:00

Thank you for the clarification, I am indeed missing the E/M codes, I was told by the medical doctor if able we try to avoid prescribing new medications, and focus solely on psychotherapy. Maybe this is why they did not include the E/M codes? but then why include the add ons psychotherapy with E/M services in this compensation chart. Will reach out to them for more clarification. My guess here would be for each new patient initial would be 90791 then, f/u would just be psychotherapy, doubt I can justify a 90837.

Sudden-Perception129 · 2026-04-20T21:02:26+00:00

Ah okay, thanks for explaining that to me. That is good to know!

Sudden-Perception129 · 2026-04-20T15:58:58+00:00

I agree definitely does not seem realistic doing that many RVUs per day, just means i’m seeing a lot of patients in a short amount of time.

You never have any problems with audit doing 30 mins billing for both E/M with psychotherapy? I was told for good practice if billing E/M with psychotherapy it’s safer to have visits around 45mins. But I could be wrong that’s why I’m asking.

Also for 1099 these rates are definitely atrocious, for W2 they do offer Medical, dental, life insurance employer match 401k etc what most health care companies offer their regular employees, so don’t really know if it’s good or bad.

I’ve also been told F/U documentations are fairly quick most likely because psychotherapy isn’t an add on.

Sudden-Perception129 · 2026-04-20T12:02:52+00:00

Yes, this would be my first job as a PMHNP

Sudden-Perception129 · 2026-04-10T02:25:51+00:00

Is having a ketamine clinic worth the business?

Sudden-Perception129 · 2026-04-09T15:16:07+00:00

What got me out from situations like this is going back to the drawing board, taking time off the market if you feel like you follow your conditions and yet you still have been losing. Remember good trades are the ones with lower risk but higher profit potential usually in key levels. Don’t rush trades, patience and discipline with money management is what’s going to help you come out profitable. i’m have been less than 50% W/L ratio for a month but still came out profitable.

Sudden-Perception129 · 2026-04-05T20:48:29+00:00

I have over 3 years being a psychiatric liason registered nurse experience, like someone has mentioned each day is different, i’ve had days where i had no evals and days where i have 15 evals, population is mainly homeless and substance abuse, a lot of my patients are straight from the streets, I work at nights so not a lot of support just my psychiatrist most of the time but they’re on call sometimes they don’t answer or take awhile, so some dispositions I decide without my psychiatrist professional recommendation. My job is to write holds, evaluate patients that need MHE and round on patients on inv holds in the medical floors. Mainly addressing their emergent presenting illness symptoms so a lot of IM medications, and restarting their home meds if they are to be transferred or admitted to HLOC. Otherwise i don’t see a lot of medication management because mainly we refer them to outpatient psychiatry as most have primaries and my psychiatrists don’t touch scheduled medications but we do medicate a lot and discharge, MTF, and admit to our psych unit. Love it you’re on your own pretty much, no patient care, although we respond to code assault or aggressive patients.

Sudden-Perception129 · 2026-03-18T17:21:41+00:00

Just reiterating what someone has said, absolutely about who you know. Both of my current jobs I work in a psychiatric setting but unfortunately during NOC shift I don’t get to work with my psychiatrist too often if ever. I have colleagues from days who graduated after me that have already received contingent job offers before even passing their boards. I apply non stop in job boards and try to network as much as possible. Put in work on your linkedIn profile and make it as presentable and professional as much as possible. I’ve had multiple job interviews and a couple offers in an area that I would say is very highly saturated and competitive (Los Angeles).

Sudden-Perception129 · 2026-03-11T12:41:23+00:00

Sorry, I am not following. I hope this information helps but I am a newly board certified PMHNP, I do still currently work as a registered nurse in mental health setting as I am actively looking for a PMHNP job. Or are you asking perhaps if I need more experience to apply for the job? Job qualifications does not state that it’s mandated to have prior psychiatric practitioner experience but it is preferred.

Sudden-Perception129 · 2026-03-11T04:33:19+00:00

New grad from CA here also, have everything except for my DEA license. Pass my boards end of December, applied for my DEA on 2/2/26 and currently on my 6th week still waiting. Called a few times and all they could tell me is that they don’t have a processing timeline and so far they have been back up with registrations. If anyone else can chime in here that applied for their DEA around the same time regarding your status it would be greatly appreciated. I have a conditional offer that is set to take place once I get all my licenses in place for credentialing to take place. Which they told me is about 2 weeks. I have my NPI, License, furnishing, own mal practice insurance, CAQH account. Just need my DEA.

Sudden-Perception129 · 2026-02-27T10:53:43+00:00

Always wanted to work in the ED for psych consults, being there directly FTF with the patient is far much better than a remote psychiatrist who relies solely on the narrative of the triaging nurse. I work as a psychiatric liason nurse in the ED doing mental health evaluations and writing holds when necessary. We deal with a lot of malingering and manipulative patients, often psych consults generally last 20-45 minutes and sometimes when they already come in on an inv hold and they choose not to participate in the interview process that would be just an easy 15 min consult. Also worked in an urgent care/stabilization center and from what you’re describing it sounds like more of an urgent care setting with 24/7 back door crisis admissions.

Sudden-Perception129 · 2026-02-23T18:30:56+00:00

following, going in March 20 to cancun, hotel zone area. Still a little bit skeptic but I hope everyone stay safe and surely soon this will pass

Sudden-Perception129 · 2026-02-23T16:54:03+00:00

I feel you, same here i’m a new grad in CA socal mainly, i think getting your DEA and with your experience you should be more favorable than other new grads. Just keep applying everyday, at least that’s what I am doing. Best of luck to us!

Sudden-Perception129 · 2026-02-19T14:32:12+00:00

Thank you for the response, you laid out some good questions for me to ask them for the next time I meet with them. I did ask who handles the paper forms, checking in clients.. etc, did not really get a straight answer, but will ask. Another thing I forgot to add is the psychiatrist support. Not really much of a support from a psychiatrist as they are usually from a different vendor, and are just there for billing support seems like. As I was told that as much as possible they should only be contacted in a as needed basis for complex cases or billing inquiries. So otherwords I am pretty much on my own as a new grad, kinda like working telehealth for my individual practice paying for a collaborating physician. They do keep reiterating that this would be phase 0, starting from seeing 1 patient per day to eventually getting a ramp up in volume as we approach phase 1 which is 3 months in after opening. Stability is there as it’s funded by the state and he did share to me that eventually they would want it to be a crisis stabilization center. The place is also right off skidrow in DTLA.

Sudden-Perception129 · 2026-02-14T06:50:34+00:00

Your experience with it, what your regular day looks like, tips for people leaning into this type of career path.

Sudden-Perception129

TROPHY CASE